Surgical treatment

Depending on the severity of your GERD, you may qualify for the TIF procedure.

Owensboro Health Reflux Center is the only provider of the TIF procedure in Owensboro, KY and surrounding areas. Dr. Miguel Lalama is trained and certified to perform TIF, and has helped 100 patients find permanent relief from GERD with the TIF procedure, as of Summer 2019.

Frequently Asked Questions

Following are some frequently asked questions (FAQs) about the TIF procedure.

Q: Is the TIF procedure effective?
A: The TIF procedure has been evaluated in over 70 published papers from over 50 centers documenting consistent outcomes in over 1200 unique study TIF patients; 75% of U.S. patients reported being off daily proton pump inhibitor (PPI) medication and 82% had healed their esophagitis.

Q: Is the TIF procedure safe?
A: To date, the TIF procedure has been performed on more than 18,000 cases worldwide with minimal complications and a serious adverse event rate under 0.5%. Clinical studies demonstrate that properly selected TIF patients rarely experience long-term side effects commonly associated with traditional antireflux surgery, such as chronic trouble swallowing, gas bloat syndrome, and increased flatulence.

Q: Am I an appropriate candidate for the TIF procedure?
A: Discuss this procedure with your physician if you:

  • Regularly experience troublesome symptoms of GERD
  • No longer respond adequately to, or are dissatisfied with, pharmaceutical therapies
  • Are concerned about the adverse long-term potential side-effects of taking PPIs
  • Are considering surgical intervention but are concerned about the potential side effects (e.g. gas, bloating, difficulty swallowing, inability to vomit) and complication rates for laparoscopic antireflux surgery

Q: Is the TIF procedure covered by insurance?
A: The cost of the TIF procedure can vary depending upon the health plan as well as a patient’s selection of a surgeon or hospital. Some private health plans may require the patient or surgeon to submit paperwork for pre-authorization of an elective surgery. Our staff will help you navigate the pre-authorization and coverage for the TIF procedure with the EsophyX device.

Q: What is the recovery like?
A: A patient may typically go home either the same day or the following day, depending upon his/her specific situation and the recommendations of his/her healthcare provider. Most patients return to work and resume participating in normal activities within a few days. Patients should expect to experience some discomfort in their stomach, chest, nose, and throat for three to seven days after the TIF procedure. Patients will also be asked to restrict physical activity for the first weeks and are given dietary guidelines to help maximize success while tissue heals. Follow your physician’s specific instructions closely.

For more information on acid reflux, GERD and the TIF procedure, visit

Educational videos

Check out the videos on our GERD Youtube playlist to see animations and procedure information.

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